Provider Demographics
NPI:1639147416
Name:PICKENS SURGICAL , P.C.
Entity Type:Organization
Organization Name:PICKENS SURGICAL , P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-878-6388
Mailing Address - Street 1:559 S CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:PICKENS
Mailing Address - State:SC
Mailing Address - Zip Code:29671-2509
Mailing Address - Country:US
Mailing Address - Phone:864-878-6388
Mailing Address - Fax:864-878-6356
Practice Address - Street 1:559 S CATHERINE ST
Practice Address - Street 2:
Practice Address - City:PICKENS
Practice Address - State:SC
Practice Address - Zip Code:29671-2509
Practice Address - Country:US
Practice Address - Phone:864-878-6388
Practice Address - Fax:864-878-6356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC07630261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service